FRESENIUS KIDNEY CARE BROOKHAVEN
NPI 1215696745
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brookhaven, MS

Active since December 13, 2021CLIA 25D0693216 · Waiver
534 IRBY DR, BROOKHAVEN, MS 39601(601) 833-9720(601) 833-0925 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Dec 28, 2021, Dec 13, 2021 (3 updates tracked since 2021).

About Fresenius Kidney Care Brookhaven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESENIUS KIDNEY CARE BROOKHAVEN (NPI 1215696745) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Brookhaven, Mississippi and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barry L Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1215696745
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFRESENIUS MEDICAL CARE EAST MCCOMB DIALYSIS, LLC
Location Address534 IRBY DRBrookhaven, MS 39601-2602
Mailing Address534 Irby DrBrookhaven, MS 39601-2602 · (601) 833-9720 · Fax (601) 833-0925
Fax(601) 833-0925
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L BlantonVice President · (781) 699-9000
Enumeration DateDecember 13, 2021
Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1215696745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
534 IRBY DR, Brookhaven, MS 39601

Other Names 1

Doing Business AsFresenius Kidney Care Brookhaven

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0693216

Fresenius Kidney Care Brookhaven · Brookhaven, MS
Active · expires Aug 31, 2026
CLIA Number25D0693216
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Richard E. Miller
Laboratory Phone(601) 833-9720
Laboratory LocationFresenius Kidney Care Brookhaven534 Irby Drive, Brookhaven, MS 39601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
534 IRBY DR
BROOKHAVEN, MS 39601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresenius Medical Care East Mccomb Dialysis, LLC's NPI number?

The NPI number for Fresenius Medical Care East Mccomb Dialysis, LLC is 1215696745. It was assigned to this organization in the NPPES registry on December 13, 2021. The provider is doing business as Fresenius Kidney Care Brookhaven.

Where is Fresenius Medical Care East Mccomb Dialysis, LLC located?

Fresenius Medical Care East Mccomb Dialysis, LLC is located at 534 Irby Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-9720.

What is Fresenius Medical Care East Mccomb Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Fresenius Medical Care East Mccomb Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0693216) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fresenius Medical Care East Mccomb Dialysis, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Fresenius Medical Care East Mccomb Dialysis, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fresenius Medical Care East Mccomb Dialysis, LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.